5' Nucleotidase (CPT 83915)
83915 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
216 of 309 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Gulf Breeze Hospital | Gulf Breeze, FL | $2.55 | $17 | $11.15 | 0.2× |
| Baptist Hospital | Pensacola, FL | $2.62 | $17.50 | $11.15 | 0.2× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $3.67 | $4.89 | $11.15 | 0.3× |
| Delray Medical Center | Delray Beach, FL | $3.67 | $4.89 | $11.15 | 0.3× |
| St. Mary's Medical Center | West Palm Beach, FL | $3.67 | $4.89 | $11.15 | 0.3× |
| Florida Coast Medical Center | Port St. Lucie, FL | $3.67 | $4.89 | $11.15 | 0.3× |
| UF Health Jacksonville | Jacksonville, FL | $4.40 | $8 | $11.15 | 0.4× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $4.44 | $12 | $11.15 | 0.4× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $4.44 | $12 | $11.15 | 0.4× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $4.44 | $12 | $11.15 | 0.4× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $4.44 | $12 | $11.15 | 0.4× |
| Ascension Sacred Heart Bay | Panama City, FL | $4.72 | $11.80 | $11.15 | 0.4× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $4.72 | $11.80 | $11.15 | 0.4× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $4.89 | $4.89 | $11.15 | 0.4× |
| HCA Florida Largo Hospital | Largo, FL | $4.89 | $4.89 | $11.15 | 0.4× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $4.89 | $4.89 | $11.15 | 0.4× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $4.89 | $4.89 | $11.15 | 0.4× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $4.89 | $4.89 | $11.15 | 0.4× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $4.96 | $8 | $11.15 | 0.4× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $4.96 | $8 | $11.15 | 0.4× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $4.96 | $8 | $11.15 | 0.4× |
| HCA Florida Twin Cities Hospital | Niceville, FL | $5 | $5 | $11.15 | 0.4× |
| North Shore Medical Center | Miami, FL | $5.43 | $5.43 | $11.15 | 0.5× |
| HCA Florida Brandon Hospital | Brandon, FL | $5.45 | $5.45 | $11.15 | 0.5× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $5.50 | $5.50 | $11.15 | 0.5× |
| UCF Lake Nona Hospital | Orlando, FL | $5.81 | $5.81 | $11.15 | 0.5× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $5.85 | $5.85 | $11.15 | 0.5× |
| West Boca Medical Center | Boca Raton, FL | $6.34 | $8.44 | $11.15 | 0.6× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $6.95 | $6.95 | $11.15 | 0.6× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $6.98 | $17.45 | $11.15 | 0.6× |
| HCA Florida Lake City Hospital | Lake City, FL | $7 | $7 | $11.15 | 0.6× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $7.86 | $19.65 | $11.15 | 0.7× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $9.37 | $9.37 | $11.15 | 0.8× |
| HCA Florida Blake Hospital | Bradenton, FL | $9.37 | $9.37 | $11.15 | 0.8× |
| HCA Florida Englewood Hospital | Englewood, FL | $9.37 | $9.37 | $11.15 | 0.8× |
| HCA Florida Ocala Hospital | Ocala, FL | $10.15 | $10.15 | $11.15 | 0.9× |
| Hialeah Hospital | Hialeah, FL | $10.94 | $10.94 | $11.15 | 1.0× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $11 | $11 | $11.15 | 1.0× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $11 | $11 | $11.15 | 1.0× |
| Holy Cross Hospital | Fort Lauderdale, FL | $11.11 | $17.10 | $11.15 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $11.15 | — | $11.15 | 1.0× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $13 | $20 | $11.15 | 1.2× |
| Cleveland Clinic Hospital | Weston, FL | $13 | $20 | $11.15 | 1.2× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $13.96 | $66.48 | $11.15 | 1.3× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $14.50 | $58 | $11.15 | 1.3× |
| Viera Hospital | Melbourne, FL | $14.50 | $58 | $11.15 | 1.3× |
| Palm Bay Hospital | Palm Bay, FL | $14.50 | $58 | $11.15 | 1.3× |
| Halifax Health Medical Center | Daytona Beach, FL | $15.20 | $19 | $11.15 | 1.4× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $15.20 | $19 | $11.15 | 1.4× |
| Memorial Regional Hospital | Hollywood, FL | $17.50 | $25 | $11.15 | 1.6× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $17.50 | $25 | $11.15 | 1.6× |
| Memorial Hospital West | Pembroke Pines, FL | $17.50 | $25 | $11.15 | 1.6× |
| Memorial Hospital Miramar | Miramar, FL | $17.50 | $25 | $11.15 | 1.6× |
| Tampa General Hospital | Tampa, FL | $17.94 | $51.25 | $11.15 | 1.6× |
| Lee Memorial Hospital | Fort Myers, FL | $18.20 | $91 | $11.15 | 1.6× |
| Gulf Coast Medical Center | Fort Myers, FL | $18.20 | $91 | $11.15 | 1.6× |
| Cape Coral Hospital | Cape Coral, FL | $18.20 | $91 | $11.15 | 1.6× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $18.88 | $18.88 | $11.15 | 1.7× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $19.66 | $19.66 | $11.15 | 1.8× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $19.82 | $30.50 | $11.15 | 1.8× |
| Bethesda Hospital East | Boynton Beach, FL | $20.15 | $31 | $11.15 | 1.8× |
| Baptist Hospital of Miami | Miami, FL | $20.15 | $31 | $11.15 | 1.8× |
| Homestead Hospital | Homestead, FL | $20.15 | $31 | $11.15 | 1.8× |
| South Miami Hospital | South Miami, FL | $20.15 | $31 | $11.15 | 1.8× |
| Doctors Hospital | Coral Gables, FL | $20.15 | $31 | $11.15 | 1.8× |
| West Kendall Baptist Hospital | Miami, FL | $20.15 | $31 | $11.15 | 1.8× |
| Fishermen's Community Hospital | Marathon, FL | $20.15 | $31 | $11.15 | 1.8× |
| Mariners Hospital | Tavernier, FL | $20.15 | $31 | $11.15 | 1.8× |
| Doctors Memorial Hospital | Perry, FL | $20.40 | $51 | $11.15 | 1.8× |
| AdventHealth Deland | Deland, FL | $20.69 | $20.69 | $11.15 | 1.9× |
| Parrish Medical Center | Titusville, FL | $20.80 | $52 | $11.15 | 1.9× |
| AdventHealth Fish Memorial | Orange City, FL | $21.72 | $21.72 | $11.15 | 1.9× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $22.47 | $99 | $11.15 | 2.0× |
| Good Samaritan Medical Center | West Palm Beach, FL | $22.50 | $30 | $11.15 | 2.0× |
| Banner North Colorado Medical Center | Greeley, CO | $22.77 | $99 | $11.15 | 2.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $23.10 | $42 | $11.15 | 2.1× |
| Flagler Hospital | Saint Augustine, FL | $23.10 | $42 | $11.15 | 2.1× |
| UF Health Shands Hospital | Gainesville, FL | $23.10 | $42 | $11.15 | 2.1× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $23.10 | $42 | $11.15 | 2.1× |
| AdventHealth Palm Coast | Palm Coast, FL | $23.22 | $23.22 | $11.15 | 2.1× |
| Denver Health Medical Center | Denver, CO | $23.98 | $68.50 | $11.15 | 2.2× |
| North Okaloosa Medical Center | Crestview, FL | $25.89 | $143.85 | $11.15 | 2.3× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $29.04 | $29.04 | $11.15 | 2.6× |
| Rangely District Hospital | Rangely, CO | $29.09 | $44.75 | $11.15 | 2.6× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $30.80 | $44 | $11.15 | 2.8× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $31.19 | $31.19 | $11.15 | 2.8× |
| Boca Raton Regional Hospital | Boca Raton, FL | $32.50 | $50 | $11.15 | 2.9× |
| Sterling Regional MedCenter | Sterling, CO | $32.67 | $99 | $11.15 | 2.9× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $33 | $33 | $11.15 | 3.0× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $33.45 | $33.45 | $11.15 | 3.0× |
| Evanston Regional Hospital | Evanston, WY | $34.47 | $57.45 | $11.15 | 3.1× |
| AdventHealth Sebring | Sebring, FL | $34.47 | $34.47 | $11.15 | 3.1× |
| Larkin Community Hospital | South Miami, FL | $35 | $50 | $11.15 | 3.1× |
| Palmetto General Hospital | Hialeah, FL | $40.52 | $40.52 | $11.15 | 3.6× |
| Banner Wyoming Medical Center | Casper, WY | $41.58 | $99 | $11.15 | 3.7× |
| AdventHealth Heart of Florida | Davenport, FL | $42.40 | $42.40 | $11.15 | 3.8× |
| Parkland Memorial Hospital | Dallas, TX | $42.60 | $106.50 | $11.15 | 3.8× |
| HCA Florida Highlands Hospital | Sebring, FL | $43.30 | $43.30 | $11.15 | 3.9× |
| Desoto Memorial Hospital | Arcadia, FL | $43.50 | $87 | $11.15 | 3.9× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $45.15 | $75.25 | $11.15 | 4.0× |
| UCHealth Greeley Hospital | Greeley, CO | $47.07 | $78.45 | $11.15 | 4.2× |
| Prowers Medical Center | Lamar, CO | $49.80 | $83 | $11.15 | 4.5× |
| St. John's Medical Center | Jackson, WY | $50 | $50 | $11.15 | 4.5× |
| Weisbrod Memorial County Hospital | Eads, CO | $51 | $85 | $11.15 | 4.6× |
| Naples Community Hospital | Naples, FL | $54 | $135 | $11.15 | 4.8× |
| Poudre Valley Hospital | Fort Collins, CO | $54.92 | $78.45 | $11.15 | 4.9× |
| Medical Center of the Rockies | Loveland, CO | $54.92 | $78.45 | $11.15 | 4.9× |
| Northwest Florida Community Hospital | Chipley, FL | $57.60 | $72 | $11.15 | 5.2× |
| HCA Florida West Hospital | Pensacola, FL | $59.15 | $59.15 | $11.15 | 5.3× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $59.35 | $84.78 | $11.15 | 5.3× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $60.88 | $99 | $11.15 | 5.5× |
| East Morgan County Hospital | Brush, CO | $60.98 | $99 | $11.15 | 5.5× |
| Washakie Medical Center | Worland, WY | $63.56 | $99 | $11.15 | 5.7× |
| Longmont United Hospital | Longmont, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| St. Anthony Hospital | Lakewood, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| Penrose Hospital | Colorado Springs, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| St. Anthony North Health Campus | Westminster, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| OrthoColorado Hospital | Lakewood, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $63.91 | $159.77 | $11.15 | 5.7× |
| Memorial Hospital of Converse County | Douglas, WY | $64.98 | $114 | $11.15 | 5.8× |
| Coral Gables Hospital | Coral Gables, FL | $65.07 | $65.07 | $11.15 | 5.8× |
| Rio Grande Hospital | Del Norte, CO | $65.36 | $87.15 | $11.15 | 5.9× |
| Platte County Hospital | Wheatland, WY | $65.84 | $99 | $11.15 | 5.9× |
| Montrose Regional Health | Montrose, CO | $68.62 | $91.50 | $11.15 | 6.2× |
| Broward Health Medical Center | Fort Lauderdale, FL | $69.30 | $69.30 | $11.15 | 6.2× |
| Broward Health North | Pompano Beach, FL | $69.30 | $69.30 | $11.15 | 6.2× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $69.30 | $69.30 | $11.15 | 6.2× |
| Broward Health Coral Springs | Coral Springs, FL | $69.30 | $69.30 | $11.15 | 6.2× |
| Valley View Hospital | Glenwood Springs, CO | $69.70 | $82 | $11.15 | 6.3× |
| St. Elizabeth Hospital | Fort Morgan, CO | $70.89 | $177.22 | $11.15 | 6.4× |
| Mease Dunedin Hospital | Dunedin, FL | $78.60 | $131 | $11.15 | 7.0× |
| Winter Haven Hospital | Winter Haven, FL | $78.60 | $131 | $11.15 | 7.0× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $78.60 | $131 | $11.15 | 7.0× |
| St. Anthony's Hospital | Saint Petersburg, FL | $78.60 | $131 | $11.15 | 7.0× |
| St. Joseph's Hospital | Tampa, FL | $78.60 | $131 | $11.15 | 7.0× |
| Bartow Regional Medical Center | Bartow, FL | $78.60 | $131 | $11.15 | 7.0× |
| Morton Plant Hospital | Clearwater, FL | $78.60 | $131 | $11.15 | 7.0× |
| South Florida Baptist Hospital | Plant City, FL | $78.60 | $131 | $11.15 | 7.0× |
| Mease Countryside Hospital | Safety Harbor, FL | $78.60 | $131 | $11.15 | 7.0× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $78.60 | $131 | $11.15 | 7.0× |
| AdventHealth Orlando | Orlando, FL | $79 | $79 | $11.15 | 7.1× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $82.35 | $305 | $11.15 | 7.4× |
| Haxtun Hospital District | Haxtun, CO | $82.88 | $85 | $11.15 | 7.4× |
| Howard University Hospital | Washington, DC | $87.34 | $109.18 | $11.15 | 7.8× |
| Jackson Hospital | Marianna, FL | $91 | $58 | $11.15 | 8.2× |
| Delta County Memorial Hospital | Delta, CO | $93 | $155 | $11.15 | 8.3× |
| Wellington Regional Medical Center | Wellington, FL | $93 | $124 | $11.15 | 8.3× |
| Sublette County Health | Pinedale, WY | $93.60 | $104 | $11.15 | 8.4× |
| Ivinson Memorial Hospital | Laramie, WY | $95 | $95 | $11.15 | 8.5× |
| Calhoun-Liberty Hospital | Blountstown, FL | $96.25 | $137.50 | $11.15 | 8.6× |
| UCHealth University of Colorado Hospital | Aurora, CO | $97.13 | $277.49 | $11.15 | 8.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $99.54 | $165.91 | $11.15 | 8.9× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $100.80 | $112 | $11.15 | 9.0× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $102 | $102 | $11.15 | 9.1× |
| Manatee Memorial Hospital | Bradenton, FL | $102.20 | $255.50 | $11.15 | 9.2× |
| Lakewood Ranch Medical Center | Bradenton, FL | $102.20 | $255.50 | $11.15 | 9.2× |
| HCA Florida Putnam Hospital | Palatka, FL | $103.50 | $103.50 | $11.15 | 9.3× |
| HCA Florida JFK Hospital | Atlantis, FL | $108 | $108 | $11.15 | 9.7× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $108.47 | $361.56 | $11.15 | 9.7× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $112.50 | $112.50 | $11.15 | 10.1× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $115.70 | $178 | $11.15 | 10.4× |
| MedStar Washington Hospital Center | Washington, DC | $119.03 | $183.13 | $11.15 | 10.7× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $119.31 | $119.31 | $11.15 | 10.7× |
| Longs Peak Hospital | Longmont, CO | $126.55 | $361.56 | $11.15 | 11.3× |
| UCHealth Broomfield Hospital | Broomfield, CO | $126.55 | $361.56 | $11.15 | 11.3× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $126.55 | $361.56 | $11.15 | 11.3× |
| Jupiter Medical Center | Jupiter, FL | $131 | $131 | $11.15 | 11.7× |
| HCA Florida South Tampa Hospital | Tampa, FL | $131.16 | $131.16 | $11.15 | 11.8× |
| MedStar Georgetown University Hospital | Washington, DC | $144.27 | $221.95 | $11.15 | 12.9× |
| Grand River Medical Center | Rifle, CO | $146.75 | $293.50 | $11.15 | 13.2× |
| AdventHealth Ocala | Ocala, FL | $149.98 | $149.98 | $11.15 | 13.5× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $155 | $155 | $11.15 | 13.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $163.32 | $362.92 | $11.15 | 14.6× |
| George Washington University Hospital | Washington, DC | $165 | $412.50 | $11.15 | 14.8× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $165 | $412.50 | $11.15 | 14.8× |
| AdventHealth Carrollwood | Tampa, FL | $172.11 | $172.11 | $11.15 | 15.4× |
| AdventHealth Tampa | Tampa, FL | $172.11 | $172.11 | $11.15 | 15.4× |
| AdventHealth Riverview | Riverview, FL | $172.11 | $172.11 | $11.15 | 15.4× |
| AdventHealth Porter | Denver, CO | $177.46 | $177.46 | $11.15 | 15.9× |
| AdventHealth Avista | Louisville, CO | $177.46 | $177.46 | $11.15 | 15.9× |
| AdventHealth Littleton | Littleton, CO | $177.46 | $177.46 | $11.15 | 15.9× |
| AdventHealth Parker | Parker, CO | $177.46 | $177.46 | $11.15 | 15.9× |
| AdventHealth Castle Rock | Castle Rock, CO | $177.46 | $177.46 | $11.15 | 15.9× |
| HCA Florida Aventura Hospital | Aventura, FL | $194 | $194 | $11.15 | 17.4× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $195.70 | $195.70 | $11.15 | 17.6× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $196.42 | $491.04 | $11.15 | 17.6× |
| Johnson County Healthcare Center | Buffalo, WY | $203 | $203 | $11.15 | 18.2× |
| Campbell County Health | Gillette, WY | $211.50 | $235 | $11.15 | 19.0× |
| HCA Florida Kendall Hospital | Miami, FL | $231 | $231 | $11.15 | 20.7× |
| Sibley Memorial Hospital | Washington, DC | $234 | $234 | $11.15 | 21.0× |
| HCA Florida Northwest Hospital | Margate, FL | $241 | $241 | $11.15 | 21.6× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $287.50 | $575 | $11.15 | 25.8× |
| HCA Florida Westside Hospital | Plantation, FL | $302 | $302 | $11.15 | 27.1× |
| Medical City Dallas | Dallas, TX | $316.24 | $316.24 | $11.15 | 28.4× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $379.95 | $447 | $11.15 | 34.1× |
| HCA Florida Mercy Hospital | Miami, FL | $446 | $446 | $11.15 | 40.0× |
| HCA Florida University Hospital | Davie, FL | $456 | $456 | $11.15 | 40.9× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $459.21 | $459.21 | $11.15 | 41.2× |
| Nemours Children's Hospital, Florida | Orlando, FL | $751 | $751 | $11.15 | 67.4× |
| HCA HealthOne Rose Medical Center | Denver, CO | $896 | $896 | $11.15 | 80.4× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $977.59 | $977.59 | $11.15 | 87.7× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $990.75 | $990.75 | $11.15 | 88.9× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $1,194.52 | $1,194.52 | $11.15 | 107.1× |
| Keralty Hospital | Miami, FL | — | $33 | $11.15 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $43.34 | $11.15 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $43.34 | $11.15 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $43.34 | $11.15 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $115.10 | $11.15 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $193.75 | $11.15 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $193.75 | $11.15 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.